Homestead_Rexing (10).,
I\DIAAA SAI.�S DISCLOSURE FOR�I SDF IU 26-2009-1000847 Page?
: PREPARER' , . - . - � � . - - . — - .;; . .
iRISTA WALLACE NPIST
_Prepmm �f�he Sala Dhrlmurr Furm Ttlr
605 S. E. MARTIN LUTHER KING JR. BIVD. J01�11N8SF8fI1 (fld!@i18 L8(Id TI� I�i.
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. . _ _ . .. � . . , . , . . . _ , . . ... . .
E..SELLER(S)/GR.r�,\TOR(S)�.:.. .- .• . _ . , . .. . . . • .�., . . ... � .. . . .
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RONALD J. REXIVG, DDS
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12040 $ 50 W
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HAUBSTADT,IV47639
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nder penal�ies of pery'un•, 1 hereb�� cer�ifi• tha� this Sales Disclosure. to Ihe best o( my kno�rleAge and belief. is irue, correc� and
�omplete as reyuired by la���, and ic prepared in uccnrdance �rith IC (-1.1-SS. "Real Propen�• Sales Disclosure:lct".
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. Ul'6R(S)/GR:\\TEE( -\PPLICATIONFORDEDUC7'10\S:1\D•CREDITS-IDE\TIF1'dLL�ITEDIS.TH.aT�APPLI' -
LISA A. REXING
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HAUBSTADT,IN47639
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IIES,U.IiS DISCI.OSIIRE FOR�I JLU' BH USF.D'f0,\PPI.I' FOR CF '. 1\' Df:DUCT10�'S FOR l'I . PROPHR'P1'. IDF,�'I'lll':�I.L OFTlIOJIi TfI,�T
r I. �1'ill this pmpcm• be the buyer's priman� residence'? Pm�•ide complc�c r�� Homestead
address of primary residence. includine counry: . � ty Flea[ing/Cooling System
72060 S 50 WEST -. R'ind Po�eer Dzvice
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HAUBSTADT, IN 47639 GiDwn r 6. Iiydroelec[ric Power Device
cin�, So�., �MZPG,& ����o- r 7_ Gzothermal [nerey Fleatine�Ccwline De�ice
r?. Dces the buyer have a homestead to be vacated for this residence? I( r S. k this propem• a residential ren[al properry'?
yes, procide complete address oi residerce ��acatin__, includin� counp�:
r 9. ��'ould you like to recicve tax sta:emenU �or this propem• �ia
e-mail? lPrurlJ.• tonmrr ii fornmriorr below_ Pleasr see rhe
instrurtiurte (tn� more infnrmariort ,V�p m�ailoblc in nl/ ��ouniies.l
a�,.�,,.;v„m�<.e��s„�,.,; �G -.13-i�/�—oav.G�3 -oa�
Cin'.Sm�r.nnJGPtide Counrc Prlman�proyri?rm.nr.canmctname E-mnil
n er penu i�es o pequn�. 1 herebc rer[ify tha� this �les ac osure, ro �he best of my kno�rledee and belieL is Irne, correc[ and comple�e as
required be la��', and is prrpareA in accordanee �ci[h IC 6-I.I-S.a "Real Propertc Sales Disclosure Act'l (\ute: Spouse In(ormation, Social Securite
an Dricer's Lhi enselother numbers are nut necessury� if no Homes�e:�d Deduction is being filed.)
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C(ti.�Fi�ENTIlJ. COkFID�NTIAL CO,l'F(7ENT�AL